How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $67.61 Median $93.33 Typical High $251.19 | Facility | None | $67.61 | $93.33 | $251.19 |
Aetna Setting Professional Modifier None (both parts) Typical Low $33.88 Median $75.86 Typical High $75.86 | Professional | None (both parts) | $33.88 | $75.86 | $75.86 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $29.51 Typical High $30.90 | Professional | 26 · Professional part | $17.78 | $29.51 | $30.90 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $17.38 Median $46.77 Typical High $46.77 | Professional | TC · Technical part | $17.38 | $46.77 | $46.77 |
BCBS Illinois Setting Facility Modifier None Typical Low $128.82 Median $346.74 Typical High $1,202.26 | Facility | None | $128.82 | $346.74 | $1,202.26 |
BCBS Illinois Setting Professional Modifier None (both parts) Typical Low $41.69 Median $93.33 Typical High $186.21 | Professional | None (both parts) | $41.69 | $93.33 | $186.21 |
Cigna Setting Facility Modifier None Typical Low $41.69 Median $41.69 Typical High $41.69 | Facility | None | $41.69 | $41.69 | $41.69 |
Cigna Setting Professional Modifier None (both parts) Typical Low $81.28 Median $91.20 Typical High $131.83 | Professional | None (both parts) | $81.28 | $91.20 | $131.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $37.15 Typical High $52.48 | Professional | 26 · Professional part | $20.89 | $37.15 | $52.48 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $69.18 Typical High $77.62 | Professional | TC · Technical part | $47.86 | $69.18 | $77.62 |
Hally Health Setting Professional Modifier None Typical Low $79.43 Median $112.20 Typical High $363.08 | Professional | None | $79.43 | $112.20 | $363.08 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $44.67 Typical High $208.93 | Professional | 26 · Professional part | $29.51 | $44.67 | $208.93 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $69.18 Typical High $141.25 | Professional | TC · Technical part | $46.77 | $69.18 | $141.25 |
Hally Health Setting Facility Modifier None Typical Low $100.00 Median $100.00 Typical High $100.00 | Facility | None | $100.00 | $100.00 | $100.00 |
Hally Health Setting Professional Modifier None (both parts) Typical Low $95.50 Median $97.72 Typical High $102.33 | Professional | None (both parts) | $95.50 | $97.72 | $102.33 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | None (both parts) | $33.11 | $33.11 | $33.11 |
United Setting Professional Modifier None (both parts) Typical Low $36.31 Median $83.18 Typical High $141.25 | Professional | None (both parts) | $36.31 | $83.18 | $141.25 |
United Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $34.67 Typical High $61.66 | Professional | 26 · Professional part | $19.50 | $34.67 | $61.66 |
United Setting Professional Modifier TC · Technical part Typical Low $16.60 Median $48.98 Typical High $79.43 | Professional | TC · Technical part | $16.60 | $48.98 | $79.43 |
3 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $33.88 Median $38.02 Typical High $38.02 | Professional | 52 · Reduced service | $33.88 | $38.02 | $38.02 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.80 Median $15.14 Typical High $15.14 | Professional | 53 · Discontinued | $13.80 | $15.14 | $15.14 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $54.95 Median $60.26 Typical High $60.26 | Professional | FX · Film X-ray | $54.95 | $60.26 | $60.26 |
Where Illinois sits
The same service costs 5.9 times more in Alaska than in Texas. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Illinois· 21st of 51
$91.20
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.